Unsanitary Resident Bathrooms and Lack of Housekeeping Policy
Penalty
Summary
The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment, specifically related to unsanitary resident bathrooms and the absence of housekeeping policies and procedures. Surveyor observations on 2/3/26 found that four of four inspected bathrooms serving seven residents had strong urine odors, dried urine on floors, urine and toilet paper left in toilets, and feces on toilet chairs, toilet rims, and toilet walls. In one shared bathroom, there was dried urine and feces on the toilet chair and rim, and dried urine on the floor. Another resident’s bathroom had feces on the toilet chair, toilet rim, and inside walls of the toilet. A third shared bathroom had a strong urine odor, dried urine on the floor, feces on the back of the toilet chair, and urine and toilet paper in the toilet. A fourth shared bathroom had a strong urine odor, urine and toilet paper in the toilet, dried urine on the floor, and toilet paper on the floor saturated with dried urine. The facility did not have a housekeeping policy or procedure in place, as confirmed by the Nursing Home Administrator. The CNA who accompanied the surveyor acknowledged that the bathrooms were not clean and stated that housekeeping was responsible for cleaning resident rooms, noting that there was only one housekeeper for both housekeeping and laundry. The housekeeper reported being unable to complete both housekeeping and laundry duties alone and stated there was no checklist or schedule for cleaning resident rooms, although each room was supposed to be cleaned daily. The maintenance staff member overseeing housekeeping confirmed there were no hard schedules, checklists, or calendars for room cleaning, stated that resident rooms were cleaned twice a week, and agreed that the observed bathrooms were not clean. The DON stated that bathrooms and floors should be cleaned daily and that CNAs were responsible for tidying and picking up bathroom messes before housekeeping sanitized, but acknowledged awareness that the bathrooms were not clean.
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